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Arkansas rates for HCPCS 12054

Repair Intermediate F/E/E/N/L&/Muc 7.6-12.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.54 / $1,083.00 / $3,109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.98 / $302.10 / $384.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.42 / $379.42 / $455.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.40 / $324.12 / $504.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.65 / $136.65 / $136.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.64 / $349.57 / $577.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.00 / $328.00 / $858.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.39 / $373.38 / $631.79